Individual
JESSA WAGNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2655 ENTERPRISE RD, RENO, NV 89512-1666
(775) 688-1600
Mailing address
3016 W CHARLESTON BLVD STE 100, LAS VEGAS, NV 89102-1973
(702) 780-7118
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MI1250
NV
172V00000X
Community Health Worker
—
—
Other
Enumeration date
05/11/2012
Last updated
10/12/2021
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